AdventHealth Fish Memorial

AdventHealth Fish Memorial, located at 1055 Saxon Blvd in Orange City, Florida, provides community-centered, compassionate care. As part of the AdventHealth network, our 253-bed facility offers advanced services, including heart and vascular care, cancer treatment, orthopedics, and comprehensive women's health services using innovative technology like the da Vinci Xi surgical system. We are committed to whole-person health, focusing on your physical, emotional, and spiritual well-being, guided by the principles of CREATION Life. Experience the AdventHealth difference, where we extend the healing ministry of Christ and your health is our priority.

Identifiers

Hospital Name AdventHealth Fish Memorial
Facility ID 100072

Location

Address 1055 SAXON BLVD
City/Town Orange City
State FL
ZIP Code 32763
County/Parish VOLUSIA

Health System

Health System AdventHealth
Health System Website Domain adventhealth.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 34
Health System Total Beds 8772
Health System Hospital Locations Colorado, Florida, Georgia, Kansas, Kentucky, North Carolina, Texas and Wisconsin

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Church
Ownership Details AdventHealth
Emergency Services Yes

Eric Lunde

Chief Executive Officer

Appointed effective Feb. 9, 2025. Previously served as president and CEO of AdventHealth DeLand and COO of AdventHealth Daytona Beach. His career in healthcare management spans over a decade with roles at AdventHealth Manchester in Kentucky, including physician services vice-president and chief operating officer. He also held a position at Kettering Health in Ohio for five years, including as Kettering Health Troy and Kettering Health Piqua president. He holds a Master of Business Administration from Walden University, a Master of Education from Lesley University, and a Bachelor of Science in commercial art from Union Adventist University. He serves on the board for the DeLand and Greater West Volusia Chamber of Commerce, the AdventHealth DeLand Foundation, and the Stetson University School of Music Advisory Board.

April Chilson

Chief Operating Officer

Stephen Knych, MD

Chief Medical Officer

Michele Johnson

Chief Nursing Officer

Jennifer Ambs

Chief Financial Officer

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 175

Staffing & Personnel

FTE Employees on Payroll 901.73
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 13627
Inpatient Days (Title XIX) 1378
Total Inpatient Days 49075
Bed Count 257
Available Bed Days 93805
Discharges (Title V) NA
Discharges (Title XVIII) 2566
Discharges (Title XIX) 254
Total Discharges 10097

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 10857
Inpatient Days (Title XIX; Adults & Peds) 804
Total Inpatient Days (Adults & Peds) 39093
Bed Count (Adults & Peds) 221
Available Bed Days (Adults & Peds) 80665
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 2566
Discharges (Title XIX; Adults & Peds) 254
Total Discharges (Adults & Peds) 10097

Quality Summary

Care Quality Stengths High overall patient satisfaction. Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does an exceptional job of ensuring patients at the hospital do not get infections
Care Quality Concerns

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 72%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients Better Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients Better Than National Average
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications No Different Than National Average
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 131

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients 12.7
Readmission Score Hospital Return Days for Heart Failure Patients -4.7
Readmission Score Hospital Return Days for Pneumonia Patients 14.4
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 14.5
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.9
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 13.9
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.6
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.7
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.7
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Number of Cases Too Small
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Number of Cases Too Small
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement Number of Cases Too Small
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 1.053
CAUTI SIR (Standardized Infection Ratio) 0.255
SSI SIR (Standardized Infection Ratio) 0.188
CDI SIR (Standardized Infection Ratio) 0.151
MRSA SIR (Standardized Infection Ratio) 0.644

Fiscal Period

Fiscal Year Begin Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $10,028
Bad Debt Expense $12,989
Uncompensated Care Cost $12,584
Total Uncompensated Care $28,365

Operating Expenses ($ thousands)

Total Salaries $80,445
Overhead Expenses (Non-Salary) $154,832
Depreciation Expense $15,207
Total Operating Costs $189,310

Charges ($ thousands)

Inpatient Charges $534,406
Outpatient Charges $519,773
Total Patient Charges $1,054,179

Wage-Related Details ($ thousands)

Core Wage Costs $14,908
Wage Costs (RHC/FQHC)
Adjusted Salaries $74,761
Contract Labor (Patient Care) $12,140
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $57,856
Short-Term Investments
Notes Receivable
Accounts Receivable $38,874
Allowance for Doubtful Accounts $-11,592
Inventory $3,959
Prepaid Expenses $9,327
Other Current Assets $2,914
Total Current Assets $105,813

Balance Sheet – Fixed Assets ($ thousands)

Land Value $20,555
Land Improvements Value $9,306
Building Value $171,881
Leasehold Improvements
Fixed Equipment Value $15,978
Major Movable Equipment $73,133
Minor Depreciable Equipment
Health IT Assets $12,271
Total Fixed Assets $165,148

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets $270,962

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $2,375
Salaries & Wages Payable $8,300
Payroll Taxes Payable
Short-Term Debt $6,550
Deferred Revenue
Other Current Liabilities $15,268
Total Current Liabilities $34,632

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $37,914
Unsecured Loans
Other Long-Term Liabilities $2,655
Total Long-Term Liabilities $40,570
Total Liabilities $75,201

Balance Sheet – Equity ($ thousands)

General Fund Balance $195,760
Total Fund Balances $195,760
Total Liabilities & Equity $270,962

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $19,154
DRG (Post-Oct 1) $5,744
Outlier Payments
DSH Adjustment $588
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $533,118
Outpatient Revenue $556,977
Total Patient Revenue $1,090,095
Contractual Allowances & Discounts $850,668
Net Patient Revenue $239,427
Total Operating Expenses $235,277
Net Service Income $4,150
Other Income $-10,262
Total Income $-6,112
Other Expenses
Net Income $-6,112

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $8,475
Medicaid Charges $146,988
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing No

ERP Information

ERP Workday
ERP Version NA
EHR is Changing Yes--In Process of Replacing